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"没有伤害吗?" 医学学生在外科实习期间的道德困境
Cara Af Humphrey1, R Evey Aslanian1, Sarah E Bradley2
1University of Michigan Medical School, Ann Arbor, Michigan.
Journal of surgical education
|November 24, 2024
概括
医学学生在外科实习期间经历了四种类型的道德困扰,与护士报告的不同. 对表达担忧的犹影响学习和专业身份的形成.
科学领域:
- 医学教育 医学教育
- 医疗保健道德 医疗保健道德
- 进行外科手术培训.
背景情况:
- 医疗保健工作者普遍存在道德困境,与负面的心理健康,倦怠和营业额有关.
- 关于医学学生的道德困境的研究有限,特别是在手术职员期间.
- 了解医学生的道德困境对于他们的福祉和专业发展至关重要.
研究的目的:
- 探索和描述医学学生在外科实习期间所经历的道德困扰类型.
- 确定特定的情景和导致该人口道德困境的因素.
- 为教育策略提供信息,以解决医疗培训中的道德困境.
主要方法:
- 一项定性研究分析了密歇根大学医学院三年级医学生的180篇叙事论文.
- 论文从连续三学年 (2018-19年,2019-20年,2020-21年) 收集.
- 演性内容分析使用道德困境 (约束,紧张,困境,不确定性,冲突) 的5个子分类方案.
主要成果:
- 在五种道德焦虑子类型中,有四种被确定:约束焦虑,紧张焦虑,困境焦虑和不确定性焦虑.
- 在医学学生的论文中没有发现冲突焦虑.
- 医学学生的道德痛苦经历与以前在护理人口中报告的不同.
结论:
- 医学学生在外科实习期间遇到特定类型的道德困扰,受他们独特的角色和责任的影响.
- 学生的等级地位,职业担忧,以及缺乏专业知识的感觉,导致不愿意报道道道德上令人痛苦的事件.
- 在医学教育中,道德上令人痛苦的场景为变革性学习和专业身份形成提供了宝贵的机会.
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